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Foot drop in patients with extensive 3rd and 4th degree burn, case series study
Hassan A Ali1, Khalid A Fayi2, Ali M Alkhathami1
1Department of Plastic Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs Riyadh, Saudi Arabia.
International Journal of Burns and Trauma
|March 20, 2023
Summary
Peripheral neuropathy, specifically foot drop, is a common complication after severe burn injuries. Higher Total Body Surface Area (TBSA) significantly increases mortality risk in these patients.
Area of Science:
- Neurology
- Burn Medicine
- Rehabilitation
Background:
- Peripheral neuropathy is a frequent neuromuscular complication following burn injuries.
- Foot drop is a specific presentation of peripheral neuropathy in burn patients, with unclear causative factors.
- This study investigates risk factors and outcomes for foot drop in burn survivors.
Observation:
- Ten burn patients with foot drop treated at King Abdulaziz Medical City were reviewed.
- The majority (70%) were male, with a mean age of 39 and mean BMI of 28.
- Flame burns (70%) were the most common cause, with a mean Total Body Surface Area (TBSA) of 62%.
Findings:
- Forty percent of patients had comorbidities.
- A significant association was found between high TBSA and mortality.
- All patients received physiotherapy; 70% showed improvement, while 30% expired.
Implications:
- Physiotherapy is crucial for managing foot drop post-burn.
- High TBSA is a critical predictor of mortality in burn patients with foot drop.
- Further research is needed to elucidate causative factors for foot drop in burn survivors.
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